Reducing deaths from trauma is a key Sustainable Development Goal (SDG 3.6), as is providing Universal Health Coverage (UHC: SDG 3.8).
Currently, trauma accounts for more deaths than TB, malaria and HIV combined, with 90% of these deaths occurring in LMICs; trauma associated mortality is due to rise with projections that road traffic collisions will be the third leading cause of death by 2030 (they currently are the top killer for people 5-29 years old).
Amongst trauma patients, timely access to quality care remains inequitable, with gaps in health services leading to barriers to care seen amongst those who are the poorest or otherwise vulnerable. Whilst reducing the occurrence of trauma is necessary, the universal provision of health systems to treat the inevitably injured is also required to improve health, wellbeing, and economic prosperity.
This project seeks to delineate barriers in access to trauma care in order to develop future interventions to ensure equitable access to trauma care for all.
This project draws on the growing partnerships between University of Rwanda, University of Global Health Equity (Rwanda), Stellenbosch University (South Africa), University for Development Studies (Ghana) and University of Birmingham. At the University of Birmingham, the project draws upon the strengths of the Institute of Applied Health Research in collaboration with the NIHR Surgical Reconstruction and Microbiology Centre (NIGR SRMRC), the Centre for Precision Rehabilitation for Spinal Pain (CPR Spine) and the Department for Political Science and International Studies on Global Health and Trauma Research. In this project we will delineate barriers that are causing delays in access to trauma care in Rwanda, Ghana and South Africa in order to make plans for future interventions. We will use qualitative methods to explore barriers in access to trauma care in rural and urban communities. Additionally, we will do workshops gathering service users, service providers, researchers and policy makers to develop context specific interventions to improve access to quality care for all.